TIFERES MEDICAL GROUP
NPI 1225433501
Clinic/Center in Palo Alto, CA

Active since October 29, 2014
1020 CORPORATION WAY, SUITE 207, PALO ALTO, CA 94303(650) 704-1867 Get Directions Write a Review

NPPES record last updated: October 29, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About TIFERES MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Tiferes Medical Group, a provider established in Palo Alto, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1225433501 assigned on October 2014. The practitioner's primary taxonomy code is 261Q00000X with license number 15375 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mr. Haim Tebeka (Director)

NPI
1225433501 Verify this NPI
Provider Name
TIFERES MEDICAL GROUP
Entity Type
Organization
Location Address
1020 CORPORATION WAY SUITE 207 PALO ALTO, CA 94303
Location Phone
(650) 704-1867
Mailing Address
1020 CORPORATION WAY SUITE 207 PALO ALTO, CA 94303
Mailing Phone
(650) 704-1867
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2014
Last Update Date
10-29-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
15375
License State
CA
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. HAIM TEBEKA

Authorized Official Title
DIRECTOR
Authorized Official Phone
(650) 704-3168

Reviews for TIFERES MEDICAL GROUP

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Psychologist (Clinical)
1020 CORPORATION WAY, SUITE 201
PALO ALTO, CA 94303
Marriage & Family Therapist
1020 CORPORATION WAY
PALO ALTO, CA 94303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225433501, enumerated as an "organization" on October 29, 2014.

The provider is located at 1020 CORPORATION WAY SUITE 207 PALO ALTO, CA 94303 and the phone number is (650) 704-1867.

Clinic/Center with taxonomy code 261Q00000X.